Inspection on 09/01/06 for Charnley House

This inspection was carried out on 9th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Charnley House 18/05/07

Charnley House 03/08/05

Charnley House 21/02/05

Charnley House 20/09/04

Charnley House 03/03/04

Similar services:

Thornton Lodge

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Charnley House Albert Road Hyde Tameside SK14 1DH Lead Inspector Janet Ranson Unannounced Inspection 9th January 2006 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Charnley House DS0000005564.V274825.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Charnley House DS0000005564.V274825.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Charnley House Address Albert Road Hyde Tameside SK14 1DH Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0161 368 4664 0161 368 4664 Charnley House Limited Mrs Lynda Elizabeth Lanceley Care Home 41 Category(ies) of Dementia - over 65 years of age (41), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (1), Old age, not falling within any other category (41), Physical disability over 65 years of age (41) Charnley House DS0000005564.V274825.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 41 service users to include: *up 41 service users in the category of OP (Old age not falling within any other category). *up to 41 service users in the category of PD(E) (Physical disability over 65 years of age). *up to 41 service users in the category of DE(E) (Dementia over 65 years of age). *up to 1 service users in the category of MD(E) (Mental disorder excluding learning disability or dementia over 65 years of age). The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 15th September 2005 2. Date of last inspection Brief Description of the Service: Charnley House is a large, detached building located near to the centre of Hyde. The property has been adapted and extended over the years to provide accommodation for 41 older people, some of whom can have dementia, physical disabilities, sensory disability or mental health problems. The latest extension was completed in November 2005 when additional en-suite bedrooms and communal areas were provided. The accommodation is situated on three floors; there are 37 single and two shared rooms. 16 single rooms have en-suite facilities. In total there are 5 communal areas of differing sizes in addition to a conservatory. One lounge is provided for those people who choose to smoke. A dining room is located on the ground floor close to the kitchen. The home provides aids and adaptations to meet individual needs and there is a full passenger lift. Car parking is to the front of the building and there is a secure garden to the rear. Charnley House DS0000005564.V274825.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the third unannounced inspection at Charnley House carried out over 6 hours. The manager who is also the registered provider is registered with the Commission for Social Care Inspection and was present through out the inspection. An investigation into a complaint from a relative was carried out on the 15th September 2005. Further details are contained in paragraph 16 within this report. Charnley House provides personal care for up to forty-one people over sixtyfive years of age. It is privately owned. In addition to teams of carers the organisation employs housekeepers, catering, laundry and maintenance personnel. An extension to provide additional en-suite bedrooms, shower room, communal areas and improve the dining room was completed in November 2005. The building work has been completed to a good standard. Furnishings and decoration in the original building were also upgraded at this time. The inspector spoke with three people who were visiting their relatives. Four residents two of whom had been recently admitted and two who had lived at Charnley House for a period of time assisted the inspector with their views on residential care. One newly appointed member of staff and the deputy manager were also interviewed during the inspection. Individual care plans and records were checked, care practice observed and a tour of the building was carried out. Comment cards were also left with the manager for relatives and residents to complete. What the service does well: Charnley House provides a good service for vulnerable residents in a pleasant and secure environment. The residents feel safe and secure and enjoy organised trips to local places of interest and the theatre. Seasonal activities are arranged in addition to movement to music and social stimulation sessions. The home cares for the resident’s families and encourages them to remain involved in their relative’s care. Charnley House DS0000005564.V274825.R01.S.doc Version 5.1 Page 6 There is a stable enthusiastic work force that works well as a team. The carers are respectful towards the residents, their families and also towards each other. The registered provider is committed to the National Vocational Qualification system. The majority of carers and housekeepers have achieved levels 1-3. There are good systems and procedures in place. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Charnley House DS0000005564.V274825.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Charnley House DS0000005564.V274825.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 4 & 5 Standards 3, 4 and 5 were inspected during the previous unannounced inspection (August 2005) when they were judged to meet fully with the standard. Standard 6 Intermediate care is not provided at Charnley House. EVIDENCE: Charnley House DS0000005564.V274825.R01.S.doc Version 5.1 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 8&9 The resident’s identified health needs are fully met by the various healthcare professionals. Standards 7 and 10 were inspected during the previous unannounced inspection (August 2005) when they were judged to meet fully with the standards. EVIDENCE: It was apparent during this inspection that resident’s heath care needs had been assessed as requiring a visit from their general practitioners. The consultations were carried out in the privacy of the individual residents rooms. The appropriate records were completed by the deputy manager and relevant information communicated to the staff when the doctors had completed their examinations. A selection of medication administration records (MAR) was examined. The deputy manager was advised to stop the use of correction fluid (Tippex) when errors had been made in the MAR sheets. The correct manner of changing the record in the event of error was advised. Charnley House DS0000005564.V274825.R01.S.doc Version 5.1 Page 10 Also discussed was the prescribing of some medications by individual doctors to be taken as required (PRN). It was the inspectors’ opinion that the doctors’ directions were confusing and could be open to misunderstanding. It was agreed that clarity would be sought from the doctor concerning the prescribing of PRN medications and the outcome fully documented. One resident was being cared for in bed. The carers were fully conversant with the resident’s condition and the manner in which to care for her. The community nurses are also involved with this person’s care and have provided specialist equipment to prevent pressure sores. Charnley House DS0000005564.V274825.R01.S.doc Version 5.1 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 15 Standards 12, 13, 14 & 15 were inspected during the previous unannounced inspection (August 2005) when they were judged to meet fully with the standards. EVIDENCE: A visitor to the home commented that she thought there was no menu available to the residents as it had been in another home she had visited. It should be noted the daily menu was clearly displayed in the dining room. The menu documented the choices available at each mealtime. Charnley House DS0000005564.V274825.R01.S.doc Version 5.1 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 The resident’s and their visitors were confident any complaints would be treated with respect and acted upon. Standard 18 was inspected during the previous unannounced inspection (August 2005) when it was judged to meet fully with the standards. EVIDENCE: A formal complaint was made to the Commission for Social Care Inspection in September 2005, by a relative of a resident. The complaint concerned action taken by a senior member of staff as a result of the resident falling in the home. An unannounced inspection was carried out to investigate the circumstances of the incident. At this time the complaint was found to be upheld. The home had however taken all reasonable steps to prevent the action taken by staff after such an accident from reoccurring. The complainant and the registered person were formally advised of the outcome at this time. During this inspection the visitors who spoke with the inspector confirmed they knew who they were to speak to if they were dissatisfied with the care. One person said she had made complaints and the staff had addressed them to her satisfaction. Charnley House DS0000005564.V274825.R01.S.doc Version 5.1 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 23, 24 & 26 The residents live in a safe and well-maintained environment, the home is clean and pleasant. The private accommodation is comfortable and the residents are encouraged to personalise their rooms. EVIDENCE: Since the previous inspection the work to extend and improve the environment at Charnley House has been completed. The finished result is to a high standard. All the additional bedrooms are above the minimum space standards and benefit from larger than average en-suite facilities. Many bedrooms have been nicely personalised and all are lockable. Two residents invited the inspector into their bedrooms they voiced their satisfaction with the accommodation and in particular the en-suite facilities. It was evident during the inspection that the resident’s were free to come and go within the building at will. Charnley House DS0000005564.V274825.R01.S.doc Version 5.1 Page 14 The registered persons husband carries out the basic maintenance and redecoration around the home. Based on observation there appeared to be no outstanding maintenance required at this time. At the last inspection two relatives complained that personal aids were not always in place and spectacles (in one case) had had to be replaced at great cost. The manager was required to ensure that the resident’s aids were in place at all times. This issue was discussed with the deputy manager during the inspection she was confident the staff were making efforts to ensure personal aids were in place and the visiting optician was naming all spectacle frames. Two visitors felt there had been an improvement since the last inspection. Charnley House DS0000005564.V274825.R01.S.doc Version 5.1 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 & 30 Standards 27,28,29 and 30 were inspected during the previous unannounced inspection (August 2005) when they were judged to meet fully with the standards. EVIDENCE: A newly appointed member of staff was interviewed during the inspection. He was aware of National Vocational Qualifications (NVQ) required to fulfil his role as a carer stating it was this training that appealed to him when he first read the advert at the job centre. The carer said he felt supported and enjoyed his work at Charnley House. New staff have been employed to reflect the increase in registered numbers of residents. They were integrated and inducted into a stable enthusiastic team of carers and housekeepers prior to completion of the extension. This situation provides a continuity that can only serve to benefit the resident’s and their relatives. The registered person is a member of the local training consortium which provides training opportunities for the staff in addition to the NVQ at levels 1 (for the housekeepers) 2 and 3. Charnley House DS0000005564.V274825.R01.S.doc Version 5.1 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,35,36 & 38 Standards 31,32,33,35,36 and 38 were inspected during the previous unannounced inspection (August 2005) when they were judged to meet fully with the standards. EVIDENCE: Charnley House DS0000005564.V274825.R01.S.doc Version 5.1 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 3 9 2 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 3 X X X 3 3 X 3 STAFFING Standard No Score 27 X 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X X Charnley House DS0000005564.V274825.R01.S.doc Version 5.1 Page 18 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP9 Regulation 13(2) Requirement The registered person must ensure that correction fluid is not used on MAR sheets. Timescale for action 13/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP9 Good Practice Recommendations The registered person should seek clarity from doctors concerning the administration of PRN medications. Charnley House DS0000005564.V274825.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Ashton-under-Lyne Area Office 2nd Floor, Heritage Wharf Portland Place Ashton-u-Lyne Lancs OL7 0QD National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Charnley House DS0000005564.V274825.R01.S.doc Version 5.1 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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